Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $225.99 / $347.06	Professional		$204.18	$225.99	$347.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $234.01 / $234.01	Professional		$225.50	$234.01	$234.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $256.99	Facility		$256.99	$256.99	$256.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $285.62 / $462.10	Professional		$218.00	$285.62	$462.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $356.28 / $454.40	Professional		$263.08	$356.28	$454.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $238.84 / $1,297.33	Professional		$204.18	$238.84	$1,297.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $305.60 / $474.10	Professional		$305.60	$305.60	$474.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $256.99	Facility		$256.99	$256.99	$256.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $287.97 / $479.37	Professional		$218.00	$287.97	$479.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $221.91 / $221.91 / $241.54	Facility		$221.91	$221.91	$241.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $224.15 / $241.54	Professional		$214.01	$224.15	$241.54
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $632.00 / $3,742.00	Facility		$162.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $280.19 / $460.72	Professional		$215.31	$280.19	$460.72